Background: Gastric obstructions (LSG) leaks and staple line bleeding are reported after laparoscopic sleeve gastrectomy. There is no ideal method or technique to avoid these mishaps. modified omentopexy (OP) added to LSG to determine if there is any effect on gastric leaks and other complications. The aim of this study was the assessment of safety & feasibility of the omentopexy technique in Laparoscopic sleeve gastrectomy.Objective: This study aimed to assess the safety & feasibility of the omentopexy technique in Laparoscopic sleeve gastrectomy. Patients and Methods: This prospective randomized controlled clinical trial study was conducted in the Zagazig University hospital including 32 patients with morbid obesity who were admitted to the General Surgery Department, for intervention surgery with laparoscopic sleeve gastrectomy during the period from July 2020 to July 2021. Patients underwent a standardized preoperative assessment, including a complete history, physical examination, and psychological evaluation. Results: There was a highly statistically significant decrease in mean weight and BMI at six months postoperative compared to pre-operative Laparoscopic sleeve gastrectomy with and without omental fixation group. Conclusion: Omentopexy may not change the outcome for a laparoscopic sleeve gastrectomy in terms of gastrointestinal symptoms or weight loss results although it is associated with longer operative time. However, it may serve as an extra guard against leakage, bleeding, vomiting, and gastroesophageal reflux disease, manifested by the decreased incidence of these complications with that technique. Laparoscopic sleeve gastrectomy with omentopexy can be a feasible procedure for decreasing morbidity and gastric leak rate.
Introduction: Transabdominal preperitoneal (TAPP) hernioplasty is a common procedure for groin hernia repair. The peritoneal closure after mesh placement is recommended to avoid mesh exposure to the viscera with the risk of adhesions and bowel incarceration into peritoneal defects. This study offers a novel technique for peritoneal closure by using external looped needle.
Introduction: Transabdominal preperitoneal (TAPP) hernioplasty is a common procedure for groin hernia repair. The peritoneal closure after mesh placement is recommended to avoid mesh exposure to the viscera with the risk of adhesions and bowel incarceration into peritoneal defects. This study offers a novel technique for peritoneal closure by using external looped needle. Materials and methods: During the period from April 2013 through August 2015, during laparoscopic inguinal hernia repair in 117 patients, the peritoneal closure was achieved by percutaneous transabdominal external looped needle. The needle was passed directly through the abdominal wall to close the peritoneal flaps using Vicryl no. 0. The mean follow-up period was 28 months. Results: The age of this patients' group ranged from 20 to 66 years (mean age 47 years). The mean time to put one stitch was 1.8 minutes. No recurrence, pain, intestinal adhesion, obstruction, mesh bulging, or infection was recorded in this patients' group during the period of follow-up. Conclusion: Our technique for peritoneal closure during laparoscopic inguinal hernia repair (TAPP) is effective, safe, and easy.
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